UNSTABLE INTERTROCHANTERIC FRACTURE OF THE FEMUR - A PROSPECTIVE RANDOMIZED STUDY COMPARING ANATOMICAL REDUCTION AND MEDIAL DISPLACEMENT OSTEOTOMY

被引：39

作者：

DESJARDINS, AL ^{[1
]}

ROY, A ^{[1
]}

PAIEMENT, G ^{[1
]}

NEWMAN, N ^{[1
]}

PEDLOW, F ^{[1
]}

DESLOGES, D ^{[1
]}

TURCOTTE, RE ^{[1
]}

机构：

[1] UNIV MONTREAL,MONTREAL H3C 3J7,QUEBEC,CANADA

来源：

JOURNAL OF BONE AND JOINT SURGERY-BRITISH VOLUME | 1993年 / 75卷 / 03期

关键词：

D O I：

10.1302/0301-620X.75B3.8496218

中图分类号：

R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];

学科分类号：

摘要：

We conducted a prospective randomised trial to compare the results of anatomical reduction and medial displacement osteotomy in 127 consecutive patients with unstable intertrochanteric fractures, of whom 109 completed the study. After an average follow-up of 11 months, we found no significant differences in walking ability, social status or failure of fixation in the two groups. Postoperative complication rates and the early mortality rate were not significantly different, but operating time and blood loss were significantly higher in the osteotomy group. With the use of modern sliding hip screws, medial displacement osteotomy is rarely indicated for unstable intertrochanteric fractures.

引用

页码：445 / 447

页数：3

共 14 条

[1] TREATMENT OF UNSTABLE INTERTROCHANTERIC FRACTURES OF THE FEMUR - A PROSPECTIVE TRIAL COMPARING ANATOMICAL REDUCTION AND VALGUS OSTEOTOMY [J].